Thomas Frank Myers, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041339152 Issued in IL

Practice address

6901 N Galena Rd
Peoria, IL 61614-3193

Phone

(309) 689-2180

NPI assigned

Jun 25, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1164092805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 GALENA RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143193",
            "telephone_number": "309-689-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N GALENA RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143193",
            "telephone_number": "309-689-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "THOMAS",
        "middle_name": "FRANK",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041339152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456789",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "address_1": "6901 N Galena Rd",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616143193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karene Antonette Myers, RPH, PHARMD, BS
• Matthew John Myers, MPT
• Miranda Myers, LCSW
• Rachel Myers, NP
• Robert Thompson Myers, M.D.
• Marissa Christine Myres, APRN,CNS
• Rahmat O NA'Allah, M.D.
• Daniah Nacarato, APN
• Meghana Nadiger, M.D.
• Margaret Besler Nagel, M.D.

• Registered Nurse in Peoria, IL
• Providers in Peoria, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.